AORN PERIOP 101 FINAL EXAM 1
1. Which of the following individuals is qualified to provide anesthesia care according to
perioperative standards?
a. Only anesthesiologists
b. Anesthesiologists, CRNAs, anesthesia assistants, and perioperative nurses
c. Only CRNAs and anesthesiologists
d. Only perioperative nurses with additional certification
Anesthesiologists, CRNAs, anesthesia assistants, and perioperative nurses
Anesthesia care can be provided by multiple qualified professionals including anesthesiologists,
CRNAs, anesthesia assistants, and perioperative nurses depending on facility protocols and state
regulations.
2. A patient receiving general anesthesia experiences complete loss of consciousness. Which
type of anesthesia involves loss of sensation to a larger region without affecting
consciousness?
,a. Local anesthesia
b. Regional anesthesia
c. Monitored anesthesia care (MAC)
d. Moderate sedation
Regional anesthesia
Regional anesthesia blocks sensation to a specific region of the body (such as an entire limb or
lower body) while the patient remains conscious or sedated but not unconscious.
3. During Monitored Anesthesia Care (MAC), whose primary responsibility is to monitor
the patient throughout the procedure?
a. The anesthesiologist only
b. The Certified Registered Nurse Anesthetist (CRNA)
c. The registered nurse (RN)
d. The surgeon
The registered nurse (RN)
During MAC, the RN is responsible for continuous patient monitoring including vital signs,
airway status, and sedation levels while the anesthesia provider manages medication
administration.
4. A patient under Monitored Anesthesia Care (MAC) requires vigilant nursing assessment.
Which of the following should the RN monitor during this type of anesthesia?
a. Surgical site infection signs
b. Extravasation of IV, reduction of arterial O2 sat, and difficulty breathing
c. Urinary output only
d. Skin integrity only
,Extravasation of IV, reduction of arterial O2 sat, and difficulty breathing
Critical monitoring during MAC includes watching for IV extravasation (tissue damage from
leaking fluids), oxygen desaturation, and respiratory difficulty to prevent complications.
5. A patient is progressing through the stages of anesthesia. Which stage is characterized by
the patient becoming unconscious and losing the eyelid reflex?
a. Initial administration
b. Excitement stage
c. Intrasurgery stage
d. Possibility of respiratory failure stage
Excitement stage
The excitement stage (Stage II) begins with loss of consciousness and loss of the eyelid reflex,
often accompanied by irregular breathing and involuntary movements.
6. The three phases of anesthesia include induction, maintenance, and emergence. Which
phase begins from the time the patient awakens until the patient exits the operating room?
a. Induction
b. Maintenance
c. Emergence
d. Preoperative
Emergence
The emergence phase spans from when the patient begins to awaken from anesthesia until they
are transferred out of the operating room to the post-anesthesia care unit.
7. A patient requires an upper extremity nerve block for hand surgery. Which anesthetic
technique is often used for this purpose?
, a. Spinal anesthetic
b. Epidural anesthetic
c. Intravenous regional anesthetic (Bier block)
d. Topical anesthetic
Intravenous regional anesthetic (Bier block)
Intravenous regional anesthesia, also known as a Bier block, is commonly used for upper
extremity procedures by injecting local anesthetic into a vein with a tourniquet controlling
distribution.
8. Where is an epidural anesthetic injected to provide regional anesthesia?
a. Directly into the spinal canal
b. Between the ligamentum flavum and the dura mater (not into the spinal canal)
c. Into the subarachnoid space
d. Into the muscle tissue
Between the ligamentum flavum and the dura mater (not into the spinal canal)
Epidural anesthesia is injected into the epidural space located between the ligamentum flavum
and the dura mater, outside the dural sac, not directly into the spinal canal.
9. During a peripheral nerve block for regional anesthesia, which technique helps ensure
proper needle placement for accurate anesthetic delivery?
a. Visual inspection only
b. Continuous nerve stimulation
c. Patient verbal feedback only
d. Fluoroscopy
Continuous nerve stimulation
1. Which of the following individuals is qualified to provide anesthesia care according to
perioperative standards?
a. Only anesthesiologists
b. Anesthesiologists, CRNAs, anesthesia assistants, and perioperative nurses
c. Only CRNAs and anesthesiologists
d. Only perioperative nurses with additional certification
Anesthesiologists, CRNAs, anesthesia assistants, and perioperative nurses
Anesthesia care can be provided by multiple qualified professionals including anesthesiologists,
CRNAs, anesthesia assistants, and perioperative nurses depending on facility protocols and state
regulations.
2. A patient receiving general anesthesia experiences complete loss of consciousness. Which
type of anesthesia involves loss of sensation to a larger region without affecting
consciousness?
,a. Local anesthesia
b. Regional anesthesia
c. Monitored anesthesia care (MAC)
d. Moderate sedation
Regional anesthesia
Regional anesthesia blocks sensation to a specific region of the body (such as an entire limb or
lower body) while the patient remains conscious or sedated but not unconscious.
3. During Monitored Anesthesia Care (MAC), whose primary responsibility is to monitor
the patient throughout the procedure?
a. The anesthesiologist only
b. The Certified Registered Nurse Anesthetist (CRNA)
c. The registered nurse (RN)
d. The surgeon
The registered nurse (RN)
During MAC, the RN is responsible for continuous patient monitoring including vital signs,
airway status, and sedation levels while the anesthesia provider manages medication
administration.
4. A patient under Monitored Anesthesia Care (MAC) requires vigilant nursing assessment.
Which of the following should the RN monitor during this type of anesthesia?
a. Surgical site infection signs
b. Extravasation of IV, reduction of arterial O2 sat, and difficulty breathing
c. Urinary output only
d. Skin integrity only
,Extravasation of IV, reduction of arterial O2 sat, and difficulty breathing
Critical monitoring during MAC includes watching for IV extravasation (tissue damage from
leaking fluids), oxygen desaturation, and respiratory difficulty to prevent complications.
5. A patient is progressing through the stages of anesthesia. Which stage is characterized by
the patient becoming unconscious and losing the eyelid reflex?
a. Initial administration
b. Excitement stage
c. Intrasurgery stage
d. Possibility of respiratory failure stage
Excitement stage
The excitement stage (Stage II) begins with loss of consciousness and loss of the eyelid reflex,
often accompanied by irregular breathing and involuntary movements.
6. The three phases of anesthesia include induction, maintenance, and emergence. Which
phase begins from the time the patient awakens until the patient exits the operating room?
a. Induction
b. Maintenance
c. Emergence
d. Preoperative
Emergence
The emergence phase spans from when the patient begins to awaken from anesthesia until they
are transferred out of the operating room to the post-anesthesia care unit.
7. A patient requires an upper extremity nerve block for hand surgery. Which anesthetic
technique is often used for this purpose?
, a. Spinal anesthetic
b. Epidural anesthetic
c. Intravenous regional anesthetic (Bier block)
d. Topical anesthetic
Intravenous regional anesthetic (Bier block)
Intravenous regional anesthesia, also known as a Bier block, is commonly used for upper
extremity procedures by injecting local anesthetic into a vein with a tourniquet controlling
distribution.
8. Where is an epidural anesthetic injected to provide regional anesthesia?
a. Directly into the spinal canal
b. Between the ligamentum flavum and the dura mater (not into the spinal canal)
c. Into the subarachnoid space
d. Into the muscle tissue
Between the ligamentum flavum and the dura mater (not into the spinal canal)
Epidural anesthesia is injected into the epidural space located between the ligamentum flavum
and the dura mater, outside the dural sac, not directly into the spinal canal.
9. During a peripheral nerve block for regional anesthesia, which technique helps ensure
proper needle placement for accurate anesthetic delivery?
a. Visual inspection only
b. Continuous nerve stimulation
c. Patient verbal feedback only
d. Fluoroscopy
Continuous nerve stimulation
